Pediatric Surgery and Urology: Long-Term Outcomes by Mark D. Stringer BSc MRCP MS FRCS, Keith T. Oldham, Pierre

By Mark D. Stringer BSc MRCP MS FRCS, Keith T. Oldham, Pierre D. E. Mouriquand

This extremely popular textbook presents a special scientific reference for all pediatric surgeons. This re-creation analyzes and updates what's recognized approximately long term results in pediatric surgical procedure and urology. The editors have succeeded in bringing jointly severe reports written by means of prime foreign specialists in pediatric surgical procedure and urology. the second one version of this winning and well known textbook has been thoroughly revised and up-to-date with new chapters on urolithiasis, small bowel transplantation, pancreatitis and breast problems and a totally new part on trauma. An knowing of long term results is important if person surgeons and healthiness coverage makers are to accomplish optimal leads to present medical perform. this is often a vital reference resource for pediatric surgeons and urologists, pediatricians, grownup experts, and others facing the sequelae of adolescence surgical difficulties.

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Vesicoureteral reflux came to the forefront in the late 1950s and early 1960s, as dynamic urography developed. Wyland Leadbetter and his associate Victor Politano described the most often used technique of abolishing reflux by tunneling reimplantation of the ureter:69 many variations followed. This work not only focused clinical awareness on the importance of reflux, but also served as a starting wedge for much of reconstructive urology. Ileal loop introduced by Bricker in 195070 for drainage after anterior pelvic exenteration became an important method of drainage for both adults and children.

Fiberoptic endoscopy revolutionized that modality, especially when flexible technique developed. Each training department should retain an old incandescent cystoscope to give trainees an appreciation for the blessings of new technology! 67 They were destroyed by blindly inserting a cold punch, which did not allow much accuracy. 19 Accurate valve surgery resulted from voiding cystourethrography and the improved vision with fiberoptic scopes. The result was recognition that urethral valves, like most pathology, occur in a spectrum of severity68 from grade 4 with severe obstruction and hydroureteronephrosis, to grade 1 “mini valves,” which show only subtle radiographic findings and have no upper tract dilatation.

22. Schuster, S. R. A new method for the staged repair of large omphaloceles. Surg. Gynecol. Obstet. 1967; 125:837–850. 23. Potts, W. J. The Surgeon and The Children. Philadelphia: WB Saunders, 1959. 24. DeVries, P. A. & Pena, A. Posterior sagittal anorectoplasty. J. Pediar. Surg. 1982; 17:638–643. 25. Taussig, H. B. Analysis of malformations of the heart amenable to a Blalock–Taussig operation. Am. Heart. J. 1943; 36:321. 26. Potts, W. , & Gibson, S. Anastomosis of aorta to a pulmonary artery.

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